State v. Hanson , 201 Iowa 579 ( 1926 )

The initial step in the proceedings to revoke the license of appellant to practice medicine was a resolution adopted by the Wright County Medical Society on June 26, 1924. This resolution was later filed in the office of the secretary of the board of medical examiners, and, on the first day of August, notice of the charges therein contained was served upon the wife of appellant at his usual place of residence in Wright County. At this time appellant was serving a sentence pronounced against him by the United States district court in and for the northern district of Iowa, in the Federal prison at Fort Leavenworth, for the violation of what is known as the Harrison Law. On September 11th, counsel appeared for him before the board, and filed a motion, supported by affidavit, for a continuance. The affidavit set up that the defendant was absent from the state, and that, by reason of his incarceration in the Federal prison, counsel was unable to make proper preparation for the hearing on the charges filed. The motion was overruled, and a trial had upon the charges contained in the resolution above referred to, and other charges filed by order of the board of medical examiners. Evidence was offered before the board to sustain the charges aforesaid, but no evidence was introduced in appellant's behalf. The board found that the charges were sustained, and permanently revoked appellant's license to practice medicine. Thereupon, an appeal was taken to the district court.

No evidence was introduced in the district court, and the proceedings therein were upon three separate motions filed by appellant. All of the motions were overruled, and the finding and order of the board of medical examiners revoking the certificate was sustained. We will dispose of the several motions in the order in which they were filed in the court below.

I. The first motion was to set aside and cancel the finding and order of the board of medical examiners and to dismiss the proceedings certified by the board to the district court upon two grounds: (a) That the board of medical examiners acted without jurisdiction; and (b) that the law relating to the revocation of certificate to practice medicine was not complied with by the board. Want of jurisdiction of the board is asserted on the following grounds: (1) That no charges were legally preferred or filed against appellant; (2) that no notice, with copy of the purported charges, was served upon appellant, as required by law; (3) that the proceedings and order of the board of medical examiners were arbitrary and without authority; (4) that appellant was deprived of a fair trial, and also of his constitutional right of due process, by the board of medical examiners.

Section 2578 of the 1913 Supplement to the Code, so far as at present material, is as follows:

"The board of medical examiners * * * shall revoke any certificate issued by it to any physician who is not of good moral character * * * or who is guilty of gross unprofessional conduct, or for incompetency, or for habitual intoxication or drug habit; * * *."

The words "gross unprofessional conduct," so far as the charges involved in this proceeding are concerned, are defined as the "conviction of any offense involving moral turpitude."

The statute makes no specific provision as to the form of the charges to be filed before the board, but, as already appears, it does specify the precise grounds upon which a certificate may be revoked. The procedure upon the filing of 1. PHYSICIANS charges is prescribed by Section 2578-a of the AND 1913 Supplement. This statute requires that a SURGEONS: notice containing a statement of the charges and license: the date and place set for hearing be served revocation: personally upon the accused at least twenty days charges. before the time fixed for such hearing. The notice served upon appellant stated that he was accused of gross moral and unprofessional conduct as a physician, and a copy of the resolutions of the Wright County Medical Society was attached thereto. The statute provides that the notice be served in the same manner as original notices for the commencement of an action. One of the methods provided by statute 2. PHYSICIANS for serving an original notice is upon a member AND of the defendant's family over fourteen years of SURGEONS: age, at his usual place of residence, if such license: defendant is not found within the county. revocation: Section 3518, Code of 1897. The service of the service of notice in this case, therefore, complied with notice. the statute. The resolutions adopted by the Wright County Medical Society charged appellant with drunkenness, inebriacy, and two convictions in the Federal court for the violation of the Harrison Law, and requested that his license to practice medicine be revoked.

The charges are specific, and give the dates on which appellant repeatedly pleaded guilty to intoxication in the mayor's court of Eagle Grove, and of his incarceration in the inebriate hospital at Knoxville, on the charge of being a dipsomaniac, inebriate, and user of drugs, and of his convictions in the Federal court. The charges filed by the state board of medical examiners were habitual intoxication and the use of narcotic 3. PHYSICIANS drugs. The appearance of appellant, by counsel, AND and the filing of a motion for a continuance, SURGEONS: waived all defects in the notice. Hall v. license: Biever, 1 Morris 113; Paddleford v. revocation: Cook, 74 Iowa 433; Childs v. Limback, defective 30 Iowa 398; Andre v. City of Burlington, service cured by appearance. 141 Iowa 65; Chrisman v. Brandes, 137 Iowa 433; Ewing v. HawkeyeOil Co., 187 Iowa 1037.

It may be conceded that the charges were somewhat informal in character, but they are in no sense lacking in precision and definiteness, and we deem them, in substance, quite sufficient. They might easily have been made more formal, but the substance of all that was necessary to constitute formal charges is included therein, together with the charges filed by the board of examiners. The charges preferred by the board were not signed by the secretary, but they do appear to have been signed by the board. The record does not disclose the filing date of any of the charges referred to. The omission of the signature was not necessarily fatal. First Nat. Bank v. Stone, 122 Iowa 558; Mohrv. Civil Serv. Com., 186 Iowa 240.

The only action of the board that could in any respect be said to have been arbitrary was its refusal to grant a continuance. The application therefor contemplated a continuance until the expiration of the period of appellant's 4. PHYSICIANS incarceration in the Federal prison. The refusal AND to continue the hearing for that length of time SURGEONS: was not arbitrary, and no claim was made before license: the board that preparation could be made by revocation: counsel for the trial within a reasonable time. arbitrary There is nothing in the record to indicate that refusal of the board of medical examiners acted arbitrarily continuance. or were actuated in any way by improper motives. The charges preferred were of a grave nature, and were abundantly supported by much credible testimony. Appellant's term in the penitentiary had expired at the time the cause was reached for hearing, and no continuance was asked, and a trial upon the merits was declined. We will discuss the challenge of the board's jurisdiction upon constitutional grounds a little later.

We have already sufficiently disposed of appellant's contention that the law governing proceedings of the character here involved was not complied with, except the suggestion that the statute under which the proceedings were instituted is void for uncertainty. The suggestion is without merit, and will not be discussed.

II. The next motion filed by counsel for appellant was to strike from the record all of the record and documents certified to the district court by the secretary of the board, upon various grounds therein stated, most of which were, in substance, included in the prior motion. The only matter urged in this motion not covered by the preceding one was that the instruments sent up were not signed, returned, or certified, as required by law. The particular defects in the certificate are not pointed out in the motion, and an examination thereof fails to disclose any.

III. The grounds of the third motion, in substance, are that the right vested in appellant by his certificate to practice medicine is a valuable one, having the characteristics of a property right, and that he was deprived thereof 5. CONSTITU- without due process of law, in violation of the TIONAL LAW: Fourteenth Amendment to the Constitution of the due process: United States and Section 9, Article I, of the revocation Constitution of the state of Iowa. The of license. particular in which appellant contends that he was denied due process was the refusal of the court to grant him a jury trial. The delegation by the legislature to inferior tribunals of authority to revoke certificates or licenses to practice medicine has been uniformly sustained by the courts of this country, as within the police power. Green v. Blanchard,138 Ark. 137 (211 S.W. 375); Smith v. State Board of MedicalExaminers, 140 Iowa 66; Thompson v. State Board of MedicalExaminers (Colo.), 151 P. 436; Indiana Board of Pharmacy v.Haag, 184 Ind. 333 (111 N.E. 178). The function of the board in the proceedings under the statute is ministerial or quasi judicial. Smith v. State Board of Medical Examiners, supra;Traer v. State Board of Medical Examiners, 106 Iowa 559.

No provision is made by law for a jury trial in such cases, either before the board of medical examiners or upon appeal to the district court. Due process of law requires only that the proceedings shall be uniform and regular, and that notice be given the accused, together with opportunity to be heard. Smithv. State Board of Medical Examiners, supra; Louisville N.R. Co.v. Schmidt, 177 U.S. 230. A jury trial is not indispensable to due process. The legislature having made no provision therefor, the motion was properly overruled.

It is further urged by appellant that the board of medical examiners could not be both accuser and judge. The charges filed before it by the Wright County Medical Society, although informal, were sufficient to comply with the requirements of the statute, and those filed by the board were to the same effect, and were desired only to make them somewhat more formal. The evidence showed conclusively that appellant is a habitual user of narcotics and intoxicating liquors. Upon the facts shown, it is difficult to conceive how the board could have reached a contrary conclusion. He had an opportunity to be heard in the district court on the merits, but did not see fit to avail himself of it.

Counsel for appellant stresses the point that the count of the indictment charging the violation of the Harrison Law, to which he pleaded guilty in the United States district court at Ft. Dodge, did not charge moral turpitude, and that, 6. PHYSICIANS therefore, he was not guilty of gross AND unprofessional conduct. The particular violation SURGEONS: of the Harrison Law charged, to which the plea license: of guilty was entered, was the giving of an revocation: order for the purchase of narcotics without proof: making or causing to be made a duplicate sufficiency. thereof, on a form issued in blank for such purposes by the commissioner of internal revenue. Other counts in the indictment which did charge moral turpitude were dismissed at the time the plea of guilty was entered. Whether the charges of gross unprofessional conduct based upon the proceedings in the United States court constitute moral turpitude or not, other grounds for the revocation of the certificate were fully proven. On the question of what constitutes moral turpitude, see Hildreth v. Crawford, 65 Iowa 339; Indiana Board of Pharmacy v.Haag, supra; In re Disbarment of Coffey, 123 Cal. 522 (56 P. 448); In re Disbarment of Hopkins, 54 Wn. 569 (103 P. 805);Holloway v. Holloway, 126 Ga. 459 (55 S.E. 191); Senior v. Boardof Health (R.I.), 96 A. 340.

Although he was entitled to introduce testimony upon the hearing in the district court, and was given the opportunity to do so, he declined. The implication of appellant's unfitness and incompetency to practice medicine necessarily arising from the evidence is very strong. We are of the opinion that he had a fair trial before the board of medical examiners, and that the order thereof was properly sustained by the district court. —Affirmed.

De GRAFF, C.J., and FAVILLE and VERMILION, JJ., concur.